HomeMy WebLinkAboutBuilding Permit Application 7/1912017 11 : 02 AM FROM: 7722063146 TO: +17724621578 P. 2,
ALL APPLICABLE INFO MusT BE COMPLETED FOR APPLICATION TO BE ACCEPTED �{
Date: Permit Number: I
e
' Building Permit Application JUL ; p �� Q
Planning and Development Services Pcf;:!l?-I iPlC
Building and Code Regulation Division Si. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982 ,\
Phone:(772)462-1553 Fax:(772)462-1578 . Commercial N Residential
PERMIT APPLICATION FOR: Mechanical 0
PROPOSED IMPROVEMENT LOCATION:
Address: 12358 NW Harbour Ridge Blvd
Legal Description: South Shore Village unit 3-7
Property Tax ID#:4426-807-0023-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side.
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DETAILED DESCRIPTION OF WORK:
i.�5-kC.11 LLV2 �-'Oc K.e. 0)•5tl'`af N MSEC-R 5-,1
(Y10e�.C,l -�,t?►��3DA�1N� C� c�roc�el e�.�91?�C�t1��t'Pe��P�
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC F]Gas Tank ❑Gas Piping _Shutters a Windows/Doors
11 Electric 11 Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ 2977.00 Utilities:0 Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Laura Hardin Name: Thomas Kulinski
Address:118 Huron Dr Company: Apex AC&Heat of the Treasure Coast
City: Chatham State:NJ Address: 161 SE Serenata Ct
Zip Code: 07928 Fax: City: Port St Lucie State:FL
Phone No.201-400-7016 Zip Code: 34983 Fax:772-204-3146
E-Mail:- Phone No.772-577-8960
Fill in fee simple Title Holder on next page t if different E-Mail: apexacandheatofthetc@9mail.com
from the Owner listed above) State or County License: CACO26432
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
7/19/2017 11 :02 1 AM FROM: 7722063146 TO: +17724621.578 P. 3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State, city: State:
Zip:— —Phone-, Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name,
Address: Address.
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review.room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first lns
,pection If you intend to-obtain financing,consult with lender or an attorney before
commencing Wog or recording your Notice of Commencement.
/ff X s
rgni ure of'Owne�ssee/Contractor as Agent for Owner Signature of Contractor/CicenieHold
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF - COUNTY OF
The f ing ins rum nt was acknowledge cL before me The forgoing inswas;acknowledged before me
this day trumeMday of 20 Llby this 11C415 day of 20 by
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tLanic V)t ALcA--_>�
(Name of person acknowledging) (Name of person acknowledging)
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(Signature o otary Public-State of Florida (Signature ot Notlary Public-State of Florida
Personally Known OR'roduced Identification Personally Known OR Produced Identification
Type of ldentlficatio�n—ProducedType of Identification Produced
Commission No. I sion No.f"` (Seal)
NoUty PuW S0118 of
of
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Revised 07/15/2014 mON246 Eiallory Jean Wififttemore
My ComrnWlon FF WM
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
- — COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS